Metastatic Pudendal Nerve Compression Presenting as Atypical Sciatica

Thomas, E; Abiad, L; Cyteval, C.; Gallix, B.; Taourel, P.; Jm, Bruel; Blotman, F

doi:10.1097/00024720-200208000-00011

Cited by 12 publications

(7 citation statements)

References 4 publications

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“…Nunca debe considerarse la afectación pudenda como neuropática hasta haber descartado totalmente la posibilidad de patología orgánica, como endometriosis, estreñimiento pertinaz de larga evolución, tumores invasivos de órganos adyacentes, metástasis o várices pelvianas, que son capaces de producir compresión o invasión del canal de Alcock [10,38,39]. Un aspecto importante en este apartado consiste en poder determinar la existencia de un síndrome miofascial del suelo pélvico de manera aislada o concomitante con un SANP.…”

Section: Diagnóstico Diferencialunclassified

Síndrome de atrapamiento del nervio pudendo

Itza-Santos¹,

Zarza-Luciáñez²,

Salinas³

et al. 2010

RevNeurol

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Pudendal nerve entrapment syndrome Introduction. Pudendal nerve entrapment syndrome is a poorly known condition and thus rarely included in our differential diagnoses. First described by Amarenco in 1987. Development. The symptomatology is varied and can be confused with other entities, in particular the pelvic floor myofascial syndrome. Conclusions. The main symptom is neuropathic pain in the perineal area. The diagnosis is based on the clinical history, physical examination and the confirming neurophysiologic tests.

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Section: Diagnóstico Diferencialunclassified

Síndrome de atrapamiento del nervio pudendo

Itza-Santos¹,

Zarza-Luciáñez²,

Salinas³

et al. 2010

RevNeurol

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“…The differential diagnosis, supported by imaging tests, is established between endometriosis, tumors, metastasis, and other lesions that cause compression of the Alcock's canal [23,24].…”

Section: Introductionmentioning

confidence: 99%

Proctalgia in Pudendal Nerve Entrapment Syndrome: A Pathology to Know

Pascual¹,

Castro²,

Mir³

et al. 2017

Med Clin Rev

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“…Management complications include worsening of pain and neurological status, dural tears, infections, nerve root injury, vascular injury, development of pseudo-aneurysms and arterio-venous fistlulas, pulmonary embolism, retroperitoneal injuries, metabolic effects of steroids on the pituitary-adrenal axis, epidural haematomas and abscesses 71726354647. To be differentiated from this lesion, are other lesions, which could cause same symptoms and signs, as infections, abscesses, haematomas, tumours, aneurysms, arterio-veinous malformations, endometriosis, spinum bifidum occultum, osteophytes and spondylolisthesis 1748495051525354555657585960…”

Section: Introductionmentioning

confidence: 99%

Distribution pattern of surgically treated symptomatic prolapsed lumbar and sacral intervertebral discs in males

Nnamdi

2013

Niger Med J

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Background:The pattern of distribution of surgically treated symptomatic prolapsed lumbar and sacral intervertebral discs has been published, though scantily, especially in males. We decided to look at our own series, compare and contrast ours with some of those published.Materials and Methods:We treated 88 locations of this lesion in 68 males. The clinical features were those of lower back pains, with or without radiation into the lower extremities, sensory loss and paresis of the limbs. There was a case of loss of urinary bladder and ano-rectal control. All lesions were confirmed through cauda-equinograms and treated under general anaesthesia in knee-chest position (MECCA position). The patients were followed up for 3-6 months post-operatively.Results:There were 88 locations in 68 males of 21-70 years of age, with 29 prolapses occurring during the age range 31-40 years, while 54 locations were on the left and 48 at L4/5. The procedures were well tolerated by all patients and there were no post-operative complications.Conclusion:This lesion in our series occurred mostly on the left, at the L4/5 level and peaked at 31-40 years age range. The predictability of occurrence of this disease, using side, level and age is still not feasible in males from our series.

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Metastatic Pudendal Nerve Compression Presenting as Atypical Sciatica

Abstract: A rare case of Alcock's syndrome caused by tumoral compression of the pudendal nerve is reported. Spine surgeons must be aware of the possibility of Alcock's syndrome in patients presenting with atypical sciatica.

Cited by 12 publications

References 4 publications

Síndrome de atrapamiento del nervio pudendo

Síndrome de atrapamiento del nervio pudendo

Proctalgia in Pudendal Nerve Entrapment Syndrome: A Pathology to Know

Distribution pattern of surgically treated symptomatic prolapsed lumbar and sacral intervertebral discs in males

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